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"��N Town Hall, 53095 Main Road
D,y ���,, P.O. Box 1179
__�_®,c � `i• �� Southold, New York 11971
JUDITH T. TERRY ~��""""" ",,og/,/ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 484 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1 : HERRICKS LANE
City St Zip - JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/7/89.
Name Of Owner SPIESS, JAMES
Mailing Address 1 184 WOODHULL AVENUE
City St Zip RIVERHEAD NY 11901
Property Address 1 CLIPPER DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 17.008
Cross Street ANCHOR LANE
Building Permit Number Cross Reference:
Issue Date: 4/18/89 Judith T. Terry
Southold Town Clerk
(TOWN SFAI 1
INI
1/77,
t �r,x .rv... ik l kms., APR 2 1989
;' �r� ; ±i.°' 'y �
�9° ''b4�tl w? gA t; f_f1. ,, 4-.:f° N Town Hall, 53095 Main Road
�` ` `` 41 P.O. Box 1179
`�� �� ��"�� •�. Southold, New York 11971
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JUDITH T.TERRY +�....�,a001% TELEPHONE
TOWN CLERK - (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: April 12, 1989
Transmitted herewith is a copy of application No. 495 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Construction Corp for James Spiess
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
6*( `-a-
Linda J. Cooper
* * * * * * .• * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: c2. cla cp Can tri,,vidu.11.4,\
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Signature
L}11 9 1 1
Dated
OFFICE OF THE TOWN CLERK
Judith
TTW on Terry, Town Clerk of thold
Application No.// �S
Town Hall, 53095 Main Road 'M Construction
P. O. Box 1179
Southold, New York 11971 , 0 ��� — Alteration
Telephone _OI �� '` Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION orALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE �/j- / dog . _
APPLICANT NAME: Li so .
APPLICANT ADDRESS: 4 s Lia •-1a po a v 56 L 3 'c .
.3 41, 1_, e=.$ ea N - 1 ( 4 (-O.
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SEPTIC �/ CESSPOOL ✓'�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .Spy y, ' s s -P 1 1 S S
OWNER MAILING ADDRESS: t .I LL L/
c.r t4 - -" 14 ,c ( 14 G 1 ,
OWNER PROPERTY ADDRESS: C., Li Pea;p_ ', (,
1..p.p.atiE L.e So
TELEPHONE NUMBER OF CONTACT PERSON: �a� =
TAX MAP NO. : Section 7 3/ Block 6, 4 Lot !9 ' •
CROSS STREET: p/. 4..a^j a 2 L t -- LI
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of ' pplica —
RECEIVED BY: G
Q (��
:Town Clerk's Office
DATE: APR I 198
Tam
-: The water suppply -and sewage disposal . . _ • m __� �-
- '1..`.r'-, $,standa d -7n 'accordance with the minimum •, s sleets for this residence'w1/l conform ~'=� - 'u
_,standards for_ NNe surveys`as established y SUFFOLK COUNTY DEPARTMENT OF HEALTH,SERVICES s, : -,-,•
=. by the L../.A.L S. •and approved' and adopted' to the standards o/ The Sir/talk County - x„ ,_:
'",-!for"such use bye; .The New York Slate Land Department of. Health-Services, FOR APPROVAL OF CONSTRUCTION ONLY . ;
.Title Association: •- • -- S� -.4.e..''
•„"�._; rrs
DATE ~�� r NS'REF'. NO qec-j - ---)-`1. 4 .'"-,`;3Y..
The locations et Wells and cesspools shown hereon oro from Field `.^ -
observations and or from data 'obtained from other,s. _ •
- - • . ' - �`_ APPROVED .� .f
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AREA = 0.9640 ,ACRE , +�1 L ISO 'CONSTRUCTION CORP.
SURVEY 0 F AI'. 1: N, tricko Lane ,
+ 4 P.O. Box 439
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,amesport, N.Y. 11947
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CIO' ¢; HARBOR LIGHT ESTATES:::
`_ . . - SEC FOUR . - ' S
.
r. • -FILED 3 - 1 - 84 . FILE N0. 7703 'ii.' . .
.z AT BAYVIEW ,
- . ' CERTIFIED TO :
K � ' ' _ TOWN OF SOUTHOLD ', COMPANY 1: CHICAGO TITLE INSURANCE
SUFFOLK COUNTY, N. Y. TITLE NO.. 8808- 04505
SOUTHOLD SAV/NGS BANK
.O `ANDS. JAMES SP/ESS r
��, �,�.MEr �,�L.` 1000 - 79 04 - 178
�4� . ?0�ii 9�` 1 SCALE 1 = 40' A, _ -
y '1 , : DEC- 20, 1988 ;i; .
i�rF �, �' N.Y.S. L1C 496/8 Mar. 2, 1989 (revise) , •
:1 4WINT-
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0 r .. • S; 4"'• a ENGINEERS, P. C.
6 .( r_0 .•' '•= ELEVATIONS ARE IREFRENCED TO